Skilled nursing facility · CMS certification number 175484
SALEM HOME
HILLSBORO, Kansas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 45
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 14, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,626,612 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $536,972 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,089,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,665,236 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $424,404 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $119,631 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $544,035 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $544,035 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 16,470 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 942 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,705 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,465 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,112 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 22 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 30 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 388.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 209.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405274, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,469,912 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $283,677 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,186,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,174,866 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $11,369 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $288,125 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $299,494 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $299,494 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,753 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 281.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 189.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376692, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,882,662 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $107,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,774,669 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,934,186 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$159,517 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $284,222 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $124,705 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $124,705 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,789 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 191.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345951, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,560,580 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $45,944 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,514,636 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,620,493 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$105,857 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $628,726 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $522,869 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $522,869 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,438 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 164.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314214, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 29, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,141,932 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $177,956 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,963,976 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,037,631 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$73,655 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $454,132 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $380,477 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $380,477 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,481 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 112 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 261.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 211.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281805, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 18, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,303,982 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $398,454 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,905,528 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,004,314 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$98,786 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $116,679 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $17,893 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $17,893 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,880 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 196.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251154, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 13, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,057,176 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $443,898 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,613,278 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,635,888 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$22,610 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $88,736 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $66,126 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $66,126 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,349 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 502.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 224.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1224189, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,624,411 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $318,882 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,305,529 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,469,413 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$163,884 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $120,524 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$43,360 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$43,360 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,430 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 512.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189261, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,717,844 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $317,962 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,399,882 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,752,440 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$352,558 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $46,471 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$306,087 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$306,087 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,353 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 325.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1155730, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 19, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,026,503 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $297,320 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,729,183 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,839,953 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$110,770 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $59,826 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$50,944 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$50,944 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,887 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 830.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 391.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124204, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 29, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,082,935 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $334,408 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,748,527 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,892,598 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$144,071 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $132,228 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$11,843 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$11,843 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,389 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 509 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 260.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085210, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 11, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,945,438 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $157,150 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,788,288 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,888,707 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$100,419 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $199,083 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $98,664 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $98,664 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,040 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 64 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 605.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 235 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056671, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,796,421 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $126,751 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,669,670 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,889,156 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$219,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $275,705 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $56,219 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $56,219 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,373 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 323 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026962, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 15, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,890,021 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,896,505 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,484 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $293,873 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $287,389 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,093 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 457.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 426104, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,449,947 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,832,650 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$382,703 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $286,156 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$96,547 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 56 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,869 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 478 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 308.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 200.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397956, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for September 1, 2008 to September 30, 2009 — a reporting period of 394 days, on form CMS-2540-96, settled, processed by CMS on April 15, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,985,369 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,240,674 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$255,305 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $396,458 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,452 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $135,701 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 56 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,206 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 91 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 108.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 307.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367546, read from the public cost report file SNFFY2008.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| MUNGAI, PETER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/10/2025 |
| REEH, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/13/2025 |
| SALEM HOSPITAL, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/15/2021 |
| ENSEY, LAURA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/30/2021 |
| HERBEL, DELAYNE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/29/2018 |
| JOST, JARED | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/29/2024 |
| KOSLOWSKY, THOMAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/16/2018 |
| LANCASTER, MARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/29/2023 |
| WIEBE, HENRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/29/2018 |
| CROCKER, HEATHER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/31/2016 |
| MUNGAI, PETER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2016 |
| CROCKER, HEATHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/10/2016 |
| DONAHUE, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/20/2024 |
| HAMM, JODIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/20/2024 |
| HAMM, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/20/2024 |
| MUNGAI, PETER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2016 |
| REEH, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/13/2025 |
| WEBER, VIRGILENE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/20/2024 |
| WILLIAMS, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/20/2024 |
| ZARAGOZA, ANGIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/20/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SALEM HOSPITAL, INC. (enrollment ID O20050406001204).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| MICHAEL F REEH | Individual | ADP OF THE SNF | Not stated in the filing | 1/13/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PETER MUNGAI | Individual | ADP OF THE SNF | Not stated in the filing | 4/10/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SALEM HOSPITAL, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 3/15/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/24/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DELAYNE HERBEL | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/29/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HENRY WIEBE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/29/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JARED JOST | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/29/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURA ENSEY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/30/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY LANCASTER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/29/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS KOSLOWSKY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/16/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEATHER CROCKER | Individual | CORPORATE OFFICER | Not stated in the filing | 7/31/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PETER MUNGAI | Individual | CORPORATE OFFICER | Not stated in the filing | 10/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA WILLIAMS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGIE ZARAGOZA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEATHER CROCKER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/10/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JODIE HAMM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA DONAHUE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL F REEH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/13/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL HAMM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PETER MUNGAI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIRGILENE WEBER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: EILLEN R UNRUH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HEATHER CROCKER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: WENDELL LAINE DIRKS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SALEM HOSPITAL, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ANGIE ZARAGOZA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JARED JOST (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 29, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MARY LANCASTER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 29, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JODIE HAMM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: THOMAS KOSLOWSKY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 16, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LAURA ENSEY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ANGELA WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PETER MUNGAI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PETER MUNGAI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LISA DONAHUE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HENRY WIEBE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 29, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DELAYNE HERBEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 29, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HEATHER CROCKER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 10, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MICHAEL F REEH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MICHAEL F REEH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MICHAEL HAMM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: VIRGILENE WEBER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Recent changes on this record
- June 1, 2025: EILLEN R UNRUH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HEATHER CROCKER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: WENDELL LAINE DIRKS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SALEM HOSPITAL, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ANGIE ZARAGOZA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JARED JOST (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 29, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MARY LANCASTER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 29, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JODIE HAMM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: THOMAS KOSLOWSKY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 16, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LAURA ENSEY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ANGELA WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PETER MUNGAI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PETER MUNGAI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LISA DONAHUE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HENRY WIEBE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 29, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DELAYNE HERBEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 29, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HEATHER CROCKER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 10, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MICHAEL F REEH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MICHAEL F REEH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MICHAEL HAMM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: VIRGILENE WEBER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- March 14, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- April 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- April 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 29, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- February 18, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- May 13, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- April 18, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 19, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- January 29, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- March 11, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- April 19, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- March 15, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- April 26, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- April 15, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 10, 2026 | June 10, 2026 | 8 | 3 |
| 2 | August 7, 2024 | August 7, 2024 | 4 | 9 |
| 3 | December 13, 2022 | December 13, 2022 | 2 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
14 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 10, 2026 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | July 15, 2026 |
| June 10, 2026 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | July 15, 2026 |
| June 10, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | July 15, 2026 |
| June 10, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 15, 2026 |
| June 10, 2026 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | July 15, 2026 |
| June 10, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | July 15, 2026 |
| June 10, 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | C | No | Deficient, Provider has date of correction | July 15, 2026 |
| June 10, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 15, 2026 |
| August 7, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | August 13, 2024 |
| August 7, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | August 13, 2024 |
| August 7, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | August 13, 2024 |
| August 7, 2024 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Deficient, Provider has date of correction | August 13, 2024 |
| December 13, 2022 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 13, 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | No | Past Non-Compliance | August 15, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Other |
| Legal Business Name | SALEM HOSPITAL, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 2005-04-05 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Marion |
| Telephone Number | 6209471429 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 45 |
| Average Number of Residents per Day | 42.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on SALEM HOME: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On March 14, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for SALEM HOME
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Kansas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 175484.